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Challenging Behaviour in Dementia

Jul 2000
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Understanding socially disruptive behaviour in dementia is never easy. Most explanations offer neither solace nor solutions for families and carers, and treatment is often characterised by policies of control and containment. This book, which is the result of the authors 15 years of clinical work with people who are challenging, dispute the traditional medical model of dementia.

  • Contrasts the medical interpretation that sees anti-social behaviour as mere symptoms of disease with a person-centred interpretation that resonates change and resolution.
  • Offers a radical and innovative interpretation of challenging behaviour consistent with the new culture of dementia care, focusing on needs to be met rather than problems to be managed.


204pp, paperback


  • Dementia 'No Longer a Silent Epidemic'
  • Assessment of Behaviour in Dementia
  • The 'Medical Disease' the model of dementia
  • A person with dementia
  • The environmental context of Dementia
  • The needs of people with dementia
  • Taxonomies of possible explanations
  • Behavioural, ecobehavioural and functional analysis
  • Resolution therapy
  • Resolution: needs to be met, not problems to be managed
  • Working with unmet need
  • The challenge of confusion.
Published reviews: 

"A detailed, extremely practical book ... This book’s value is in its thorough treatment of this often complex area of clinical work ... undoubtedly a valuable source of information."
RCSLT Bulletin

"This practical, spiral-bound book is a popular and useful text ... recommended to neuroscience nurses ... should be in every nursing library."
British Journal of Neuroscience Nursing

"Comprehensive and easy to use text...this is a well presented, easy to read, comprehensive text; a must for any clinician working in the field." International Journal of Geriatric Psychiatry

“This manual draws on research to highlight the feeding and swallowing difficulties that may accompany dementia...needs assessment is guided by a discussion of a wide range of sensory, psychomotor, neurological and emotional factors.” 
Exceptional Child Educational Resources

“She has produced a detailed, extremely practical book...This book’s value is in its thorough treatment of this often complex area of clinical work..”  

“The Layout is clear and concise; it provides good value for money and is defiantly a practical reference.”  
Speech & Language Therapy on Practice

“The book provides a balanced mix of theory and practice. All professionals will find the assessment forms and case studies useful. There is an excellent section on the ethics of tube feeding in severe dementia...The book advocates a team approach, which is reflected by the fact that all health professionals will find it a useful addition to their libraries.” 
Therapy Weekly

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Graham Stokes

Graham Stokes is a Consultant Clinical Psychologist at South Staffordshire Healthcare NHS Trust and Consultant Director of Mental Health at BUPA Care Homes. His interests are in neuropsychology and the understanding and resolution of challenging behaviour in dementia.